Pseudoexfoliation syndrome in a 27-year-old patient: a case report

Pseudoexfoliation syndrome is more frequent in people aged >50 yeears, and its prevalence increases with age. Few reports have described cases in younger patients, all with a history of ocular surgery, especially iris resection. Herein, we describe the case of a 27-year old man with bilateral adv...

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Bibliographic Details
Published inArquivos brasileiros de oftalmologia Vol. 84; no. 3; pp. 275 - 278
Main Authors Lucas, Agustín Nicolás, Copati, Irene, Sivori, Delia, Ringvold, Amund
Format Journal Article
LanguageEnglish
Published Brazil Conselho Brasileiro de Oftalmologia 2021
Subjects
OPHTHALMOLOGY
Glaucoma
Extração de catarata
Síndrome de exfoliação
Young adult
Exfoliation syndrome
Cataract extraction
Adulto jovem
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Summary:Pseudoexfoliation syndrome is more frequent in people aged >50 yeears, and its prevalence increases with age. Few reports have described cases in younger patients, all with a history of ocular surgery, especially iris resection. Herein, we describe the case of a 27-year old man with bilateral advanced glaucoma and pseudoexfoliation material in OS. He had undergone cataract surgeries OU and a penetrating keratoplasty OD during childhood. Currently, he presented with an intraocular pressure of 40 mmHg OU. The OS showed a white flaky material in the pupillary rim and anterior capsule and a Sampaolesi line as a gonioscopic finding. Trabeculectomy was performed OU, and intraocular pressure control was achieved. Unlike other previously reported cases, this patient did not present any apparent iris manipulation in the affected eye. However, he did undergo an iridectomy in the contralateral eye. This is also the first case to be accompanied by bilateral glaucoma at the time of detection of the pseudoexfoliation material.
ISSN:0004-2749
1678-2925
1678-2925
DOI:10.5935/0004-2749.20210041